CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Central Carolina Hospital

Billing Code: 45380 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,220
about 1.0× the $1,223 Medicare rate · typically $931–$1,420
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,198
About the fair price
about $22 under the fair price · 1.0× Medicare
Medicare pays $1,223 Fair price $1,220 This hospital $1,198 Cash price $2,630 Hospital's list price $6,576

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $318 Priciest $1,198

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Colonoscopy with biopsy is about $1,220 (about 1.0× the $1,223 Medicare rate). Central Carolina Hospital charges insurers about $1,198, or about $2,630 in cash — about the fair price. Located in Sanford, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $570 - $2,474 47%
Blue Cross Blue Shieldmajor $730 - $1,985 60%
Aetnamajor $530 - $7,593 43%
Humanamajor $1,128 92%
Ambetter (Centene) $3,079 252%
AmeriHealth $818 67%
+ 2 smaller / regional plans $818 - $1,198

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Facility Profile & Credentials

  • Address: 1135 Carthage St, Sanford, NC 27330
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals